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Robot-assisted laparoscopic single-port pyeloplasty using the da Vinci SP® system: initial experience with a pediatric patient

Authors
 Sung Ku Kang  ;  Won Sik Jang  ;  Sang Woon Kim  ;  Sung Hoon Kim  ;  Sang Won Han  ;  Yong Seung Lee 
Citation
 JOURNAL OF PEDIATRIC UROLOGY, Vol.15(5) : 576-577, 2019 
Journal Title
 JOURNAL OF PEDIATRIC UROLOGY 
ISSN
 1477-5131 
Issue Date
2019
Keywords
Initial experience ; Pediatric patient ; Pyeloplasty ; The da Vinci SP® system
Abstract
INTRODUCTION: The da Vinci SP® Robotic Surgical Platform (Intuitive Surgical) was recently introduced to overcome triangulation and motion restriction during laparoendoscopic single-site surgery. The authors describe a pure, single-site, robot-assisted, laparoscopic pyeloplasty (RALP) using the da Vinci SP System in a pediatric patient. MATERIAL AND METHODS: A 10-year-old patient with ureteropelvic junction obstruction underwent pyeloplasty conducted using the da Vinci SP® System. Retrospective perioperative and immediate postoperative outcomes were investigated. RESULTS: Surgery was completed with pure single-site surgery without additional port placement or standard multiport conversion. The total operation time was 211 min, and the console time was 90 min. The docking time was much greater than that of previous pyeloplasty operations using multiport system. This result may be because of difficulties caused by bulky instrumentation entering the pneumoperitoneum. The estimated blood loss was minor, and there were no intraoperative or perioperative complications. Ureteral stent was removed after 4 weeks. Cosmetic outcomes were satisfactory. CONCLUSIONS: Pure, single-site RALP using da Vinci SP® System seems feasible in aging children. Additional studies involving more patients, younger children, and long-term outcomes are required.
Full Text
https://www.sciencedirect.com/science/article/pii/S1477513119302402
DOI
10.1016/j.jpurol.2019.08.003
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Urology (비뇨의학교실) > 1. Journal Papers
Yonsei Authors
Kang, Sung Ku(강숭구) ORCID logo https://orcid.org/0000-0002-3143-507X
Kim, Sang Woon(김상운) ORCID logo https://orcid.org/0000-0002-5790-1948
Lee, Yong Seung(이용승) ORCID logo https://orcid.org/0000-0003-3778-9888
Jang, Won Sik(장원식) ORCID logo https://orcid.org/0000-0002-9082-0381
Han, Sang Won(한상원) ORCID logo https://orcid.org/0000-0003-0941-1300
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/175191
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